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General NPI Number Information
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NPI Number | 1184234510
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Entity Type | Organization
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Legal Business Name | MEDIPLUS CLINIC, INC.
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 151 S.W 6TH STREET
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City | POMPANO BEACH
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State | FL
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Zip | 33060
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Country | US
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Telephone | 954-532-3982
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Fax | 954-206-2288
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Provider Business Mailing Address
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Address Line | 151 S.W 6TH STREET
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City | POMPANO BEACH
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State | FL
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Zip | 33060
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Country | US
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Telephone | 954-532-3982
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Fax | 954-206-2288
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Authorized Official
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Title or Position | SECRETARY
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Name | LOSSAIRE BIEN-AIME
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Credential |
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Telephone | 954-709-0665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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